Puyallup Pediatric Dentistry

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

PUYALLUP PEDIATRIC DENTISTRY

Practice address

11201 88TH Ave E Ste 120
Puyallup, WA 98373-3802

Phone

(253) 864-9889

Fax

(253) 841-6331

NPI assigned

Jan 13, 2026

Last updated

Jan 13, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Stuart Gregor Hersey, DDSNPI 1760482392

Title

Manager / Owner

Phone

(253) 864-9889

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stuart G Hersey, D.D.S., M.S.D.

  • Pediatric Dentistry
  • Puyallup, WA
  • NPI 1760482392
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1768262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768262400000",
    "number": "1821956467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11201 88TH AVE E STE 120",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983733802",
            "telephone_number": "253-864-9889",
            "fax_number": "253-841-6331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11201 88TH AVE E STE 120",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983733802",
            "telephone_number": "253-864-9889",
            "fax_number": "253-841-6331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUYALLUP PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-13",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A",
        "authorized_official_last_name": "HERSEY",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "GREGOR",
        "authorized_official_title_or_position": "MANAGER / OWNER",
        "authorized_official_telephone_number": "253-864-9889",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Puyallup Endocrine & Nuclear Medicine Clinics
• Puyallup Imaging Consultants LLC
• Puyallup Loving Arms Afh LLC
• Puyallup Open Imaging LLC
• Puyallup Park Dental
• Puyallup Psychotherapeutic Alliance
• Puyallup Radiological Assocs, Inc.
• Puyallup Regenerative Medicine, PLLC
• Puyallup School District
• Puyallup Spine and Injury Center

• Dental Clinic/Center in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Dental Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.